| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $4,897.79 | $11,220.18 | |
Anthem BCBS
| Facility | $4,265.80 | $8,709.64 | $11,220.18 | |
CareSource
| Facility | $112.20 | $123.03 | $131.83 | |
United
| Facility | $1,905.46 | $2,884.03 | $5,011.87 |